ACCESSHEALTHYCONNECT · ACCESS EXPLAINED
For patients whose chronic conditions need attention between appointments. ACCESS connects eligible patients with ongoing care alongside their existing clinicians. Start with the condition groups below; HealthyConnect confirms coverage, clinical eligibility and the services available to the patient.
The CMS model is in Original Medicare. Medicare Advantage arrangements are plan-specific; a payer pledge does not confirm an individual benefit.
Does the patient meet an available track’s clinical criteria? A diagnosis or symptom alone does not complete the eligibility check.
HealthyConnect checks available services and existing care arrangements, obtains consent and connects the patient with the appropriate pathway.
CONDITIONS & TRACKS
A track groups related conditions into one care framework. These examples explain the care opportunity; they are not eligibility determinations or promised outcomes.
eCKM · Early cardio-kidney-metabolic
High blood pressure, abnormal cholesterol, prediabetes, or obesity / overweight meeting the model’s central-obesity criteria.
A patient with high blood pressure who needs help putting the care plan into practice between visits.
Follow relevant readings, support agreed lifestyle and medication plans, and bring changes back to the treating clinician.
CKM · Cardio-kidney-metabolic
Diabetes, stage 3a or 3b chronic kidney disease, or atherosclerotic cardiovascular disease.
A patient with diabetes who needs ongoing support following the plan and tracking progress.
Connect condition-related information, patient questions and progress so the care team can coordinate next steps.
MSK · Musculoskeletal
Chronic musculoskeletal pain meeting track criteria.
A patient whose persistent pain makes daily activity difficult and who needs support between clinical encounters.
Support the agreed activity and care plan, follow reported pain and function, and share barriers with the treating team.
BH · Behavioral health
Depression or anxiety meeting track criteria.
A patient who needs help staying engaged with an agreed behavioral-health care plan between visits.
Follow reported symptoms and engagement, identify barriers, and coordinate with the patient’s existing clinicians.
More than one condition? Related conditions within one track are managed together. A patient may qualify for more than one distinct track; eCKM and CKM are alternatives. Understand multiple tracks →
Additional model tracks; HealthyConnect service availability must be confirmed separately.
A separate track focused on people with heart failure.
A track for chronic obstructive pulmonary disease.
A track addressing substance use disorders.
A track supporting people working to stop tobacco use.
CMS also announced a follow-on period for the existing musculoskeletal track. This is separate from the four additional condition tracks.
Track categories and announced timing checked September 21, 2026. CMS condition tracks and expansion guidance ↗ Patient examples and support descriptions are illustrative HealthyConnect explanations; confirm the deployment with HealthyConnect.
Patient directly: start at MyHealthyConnect.
Through a provider: your practice, specialist, therapist or pharmacy connects you with HealthyConnect.
HealthyConnect checks coverage, qualifying conditions and service availability, and obtains consent.
HealthyConnect establishes the care plan and connects ongoing support with the existing care team.
No outside physician referral is required for a patient to approach an ACCESS organization. HealthyConnect still completes the eligibility and clinical enrollment steps.
Yes. HealthyConnect’s care connects with the patient’s existing providers. See how the care team works together.
HealthyConnect’s stated offering waives patient cost-sharing for HealthyConnect ACCESS services. Other services the patient receives retain their own coverage and payment rules. See the CMS waiver and co-management sources.
Visit MyHealthyConnect to get started. HealthyConnect confirms eligibility and completes the enrollment steps.
Sign up for care ↗Set up a pathway to connect your patients with HealthyConnect. Our partner form is for your organization’s contact information.
Connect your patients with HealthyConnectUpdated September 21, 2026. CMS rules are linked below; HealthyConnect service descriptions reflect HealthyConnect’s stated care model.
CMS ACCESS model documentation ↗ · CMS guidance for referring clinicians ↗ · Sources and payment details ↗